Ein seltener Fall einer disseminierten intra- und retroperitonealen Infektion mit Echinococcus cysticus

Zusammenfassung.

Die zystische Echinokokkose ist in der Schweiz eine seltene Erkrankung. Meistens liegt ein unifokaler Befall der Leber oder der Lunge vor. In seltenen Fällen besteht ein disseminierter Befall, in welchem die chirurgische Therapie mit einer medikamentösen Behandlung mit einem Benzimidazolderivat kombiniert werden muss. Wir berichten von einem 23jährigen Patienten mit einem ausgedehnten intra- und retroperitonealen Befall einer zystischen Echinokokkose. Die Operation bestand aus einer umfangreichen abdominellen Zystenresektion und -desinfektion mit gutem postoperativem Verlauf unter Weiterführen der Benzimidazoltherapie.

A rare case of a disseminated intra- and retroperitoneal echinococcosis (E. cysticus).

Echinococcosis cysticus is a rare disease in Switzerland. In most cases a single organ is affected, usually the liver or the lung. In some rare cases with disseminated cysts, surgery has to be combined with medical therapy using benzimidazole. Here we present the case of a 23-year-old man with an extensive intra- and retroperitoneal Echinococcus cysticus infection. The surgical treatment comprised extensive abdominal resection and disinfection of the cysts. Postoperative results were good, and surgery was followed by treatment with benzimidazole.

Schlüsselwörter:

Echinococcus cysticus - Intra- und retroperitonealer Befall - Chirurgie - Immunserologie - Benzimidazol

Key words:

Echinococus cysticus - Intra- and retroperitoneal manifestation - Surgery - Immunoserology - Benzimidazol

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